Provider Demographics
NPI:1134894942
Name:RAFAIL, SARA ASHRAF (DDS)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:ASHRAF
Last Name:RAFAIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 ARIA BLVD APT 368
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3675
Mailing Address - Country:US
Mailing Address - Phone:832-557-5854
Mailing Address - Fax:
Practice Address - Street 1:3752 CASCADE RD SW STE 190
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2149
Practice Address - Country:US
Practice Address - Phone:678-263-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37724122300000X
GADN122610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist